Step by step
- Check that your medical school is listed in the World Directory of Medical Schools with a Canada Sponsor Note.
- Open a physiciansapply.ca account and have your medical degree source-verified.
- Apply for the MCCQE; once accepted you have a 12-month eligibility window to book a Prometric seat.
- Pass the MCCQE (439 on the 300 to 600 scale).
- For residency: most programs also expect the NAC Examination (a clinical OSCE) and language proficiency; apply through CaRMS.
- Alternatively, some provinces run practice-ready assessment programs for experienced physicians; several accept or require the MCCQE.
- Apply for a licence to the medical regulatory authority of the province or territory where you'll work.
MCC fees in 2026
Source: MCC Examination and service fees page, checked 8 November 2026. Fees are reviewed every year and paid in Canadian dollars by credit card. CaRMS, language tests, provincial licensing fees and travel are extra.
| Item | Fee (C$) |
|---|---|
| physiciansapply.ca account setup (one time) | 150 |
| Source verification, per medical credential | 232 |
| MCCQE application | 1,500 |
| MCCQE eligibility window extension | 120 |
| NAC Examination application | 3,320 |
Timing and attempts
The MCCQE runs in four sessions a year at Prometric centres in Canada and over 70 countries. Scheduling opens about 5 months before each session and is first come, first served. Results come about 4 weeks after the session (5 weeks for April). You have a maximum of 4 attempts, with a one-year wait before the fourth, and you can't retake the exam after a pass. Your numeric score goes to CaRMS, so aim well above the pass score rather than just past it.
See where you stand in 10 minutes
Take the free MCCQE practice test. 15 questions, every answer explained.
How to study for the MCCQE
- Use the MCC Examination Objectives as your syllabus and study by clinical presentation.
- Learn Canadian guidance: CTFPHC screening, NACI immunization, CPS, SOGC, CANMAT, Diabetes Canada and the CCS.
- Don't skip ethics, law and population health: together with communication and professional behaviours they're a large share of the blueprint and differ most from other countries.
- Take at least two full timed mocks of two 115-question sections before your exam.
Frequently asked questions
Do I need the MCCQE to apply for residency in Canada?
Yes. Passing the MCCQE is a requirement for IMGs applying for entry into a Canadian residency program.
Can I take the MCCQE outside Canada?
Yes. It's offered at Prometric test centres in Canada and over 70 other countries.
What is the LMCC?
The Licentiate of the Medical Council of Canada, part of the Canadian Standard for full licensure. Passing the MCCQE is one of its criteria; check the MCC's current LMCC requirements.
Can I write the MCCQE in French?
Yes. The MCCQE is offered in English and French.
Official sources
Practice tests for these certifications
This guide is general information, checked November 2026, not legal advice. the Medical Council of Canada rules change; confirm with the Medical Council of Canada before you apply.
